@article{
 title = {Wearable monitoring of physical functioning and disability changes, circadian rhythms and sleep patterns in nursing home residents},
 type = {article},
 year = {2015},
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 month = {7},
 publisher = {Institute of Electrical and Electronics Engineers},
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 notes = {ID: 25861091; Accession Number: 25861091. Language: English. Date Revised: 20150411. Date Created: 20150410. Update Code: 20150423. Publication Type: JOURNAL ARTICLE. Journal ID: 101604520. Publication Model: Print-Electronic. Cited Medium: Internet. NLM ISO Abbr: IEEE J Biomed Health Inform. Linking ISSN: 21682194. Date of Electronic Publication: 2015 Apr 07. ; Original Imprints: Publication: New York, NY : Institute of Electrical and Electronics Engineers, 2013-},
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 abstract = {Sleep problems and disrupted circadian rhythms are common among older adults and may be associated with several health issues and physical functioning status. Wearable continuous monitoring of physical activity enables unobtrusive monitoring of circadian activity and sleep patterns. The objective of this retrospective study was to analyze whether physical functioning status (Activities of Daily Living assessment of Resident Assessment Instrument) is associated with diurnal activity rhythm and sleep patterns measured with wearable activity sensor in nursing home residents during their normal daily life. Continuous activity data were collected by the wearable sensor from 16 nursing home residents (average age of 90.7 years, 7 demented subjects, 1 female) in their daily life over several months (12-18 months). The subjects' physical activity and sleep were quantified by several parameters from the activity data. In the cross-sectional analysis, physical functioning status was associated with the strength (RHO=0.78, P<0.05) and the stability (RHO=0.72, P<0.05) of the activity rhythm when the level of dementia was not controlled. In the longitudinal analysis (12-18 months), at an individual level the activity rhythm indices and activity level had the strongest correlations with changes in physical functioning but the associations were to some extent individual. In these long-term case recordings, decrease in the physical functioning was most strongly associated with decreasing levels of activity, stability and strength of the activity rhythm, and with increasing fragmentation of rhythm and daytime passivity. Daily wearable monitoring of physical activity may hence reveal information about functioning state and health of older adults. However, since the changes in activity patterns implying changes in physical functioning status may not be consistent between the individuals, a multivariate approach is recommended for monitoring of these changes by continuous physical activity measurement.;},
 bibtype = {article},
 author = {Merilahti, Juho and Viramo, Petteri and Korhonen, Ilkka},
 journal = {IEEE Journal Of Biomedical And Health Informatics}
}

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